Pediatric Emergency Care

1692 Words7 Pages
Children requiring emergency care have unique needs, especially when emergencies are serious or life threatening. Therefore, it is imperative that all hospitals have the appropriate resources and staff to provide effective emergency care for children. This paper outlines resources necessary to ensure that a hospital unit is prepared for an emergency situation involving pediatric patients. The pediatric rapid response team guidelines are consistent with the recommendations of the Institute of Medicine’s report on the future of emergency care in the United States health system. Adoption of a pediatric rapid response team should facilitate the delivery of emergency care for children of all ages and, when appropriate, timely transfer to a facility with specialized pediatric services.
The National Hospital Ambulatory Medical Care Survey reported that in 2010, out of 357 emergency departments 19.6% of the patient population was under 15 years old. When triaged, 7.4% were classified as emergent (NHAMCS, 2010). Emergent is measured by a visit in which the patient should be seen within 1-14min. Some of the reasons why a pediatric rapid response team is needed in hospitals are: nursing shortage, lack of education of staff on how to perform a code green, increased patient acuity on units, overcrowding in the emergency department, and limited availability of pediatric equipment. “One children’s hospital revealed an eighteen percent drop in monthly mortality rate and a seventy one percent drop in monthly codes after initiating a PRRT at their facility. Over the nineteen months that the study was conducted, thirty three children’s lives were saved. The implications that this has on mortality rates of hospitalized children nationally are trem...

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... types of education may include the use Situation, Background, Assessment, Recommendation (SBAR) process, Pediatric Early Warning Score (PEWS), and mock codes. There should be expectations set for the response time and goals set for using the PRRT. After the PRRT team is educated, next the hospital staff should be informed on criteria for using the PRRT. Not only do they need to know the criteria but also the notification process, the process of using SBAR and the expectations of those involved in a PRRT. For mass casualty incidents with critically ill children, a separate education is required to address how the hospital plans to use the PRRT. “Continual education on emergency preparedness such as the JumpSTART Pediatric MCI Triage Tool © is also recommended if the team will assist during surge or mass casualty incidents involving pediatric patients (IEMSC, 2011).”
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